Hubungan Sosial Demografi dan Perilaku Keluarga Sadar Gizi dengan Kejadian Stunting di Wilayah Kerja Puskesmas Perawatan Menawi Kabupaten Kepulauan Yapen
Social Demographic Relationships and Nutrition Aware Family Behavior with Stunting Incidents in Menawi Perawatan Public Health Center Working Area Yapen Islands District
Abstract
Latar belakang: Indonesia mempunyai masalah gizi yang cukup berat yang ditandai dengan banyaknya kasus stunting pada anak balita dan berdampak buruk pada kualitas sumber daya manusia pada masa depan.
Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan sosial demografi dan perilaku keluarga sadar gizi dengan kejadian stunting di wilayah Kerja Puskesmas Perawatan Menawi Kabupaten Kepulauan Yapen.
Metode: Jenis penelitian observasional dengan pendekatan cross section study. Populasi adalah seluruh keluarga yang memiliki balita sebanyak 242 balita dan sampel sebanyak 149 balita yang ada di wilayah Kerja Puskesmas Perawatan Menawi Kabupaten Kepulauan Yapen dengan teknik pengambilan sampel secara simple random sampling serta uji statistik menggunakan chi-square dan regresi logistik.
Hasil: Hasil peneltian diperoleh bahwa kontak dengan budaya lain (p=0,001), konsumsi makanan beraneka ragam (p=0,001) dan perilaku keluarga sadar gizi (p=0,001) adalah variabel yang berhubungan dengan kejadian stunting, sedangkan variabel pendidikan (p=0,394) dan pendapatan (p=0,646) tidak berhubungan dengan kejadian stunting. Selain itu perilaku keluarga sadar gizi yang paling berpengaruh dengan kejadian stunting dengan nilai Exp (B)=3,884.
Kesimpulan: Diperoleh bahwa kontak dengan budaya lain, konsumsi makanan beraneka ragam dan perilaku keluarga sadar gizi merupakan faktor penyebab stunting. Sehingga diperlukan intervensi kesehatan yang berkelanjutan berupa edukasi gizi keluarga.
References
Hadi AJ, Antoni A, Dongoran IM, Ahmad H. Analysis Model of Toddlers Factor as Stunting Risk Predisposition Factor Due to Covid 19 in Stunting Locus Village Area of Indonesia. J Pharm Negat Results. 2023;14(1):6–10.
Agustia A. Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita Di Wilayah Kerja Puskesmas Pantai Cermin Tahun 2020. 2020;
Sulastri D. Faktor determinan kejadian stunting pada anak usia sekolah di Kecamatan Lubuk Kilangan Kota Padang. Maj Kedokt andalas. 2012;36(1):39–50.
Safitri CA, Nindya TS. Hubungan ketahanan pangan dan penyakit diare dengan stunting pada balita 13-48 bulan di Kelurahan Manyar Sabrangan, Surabaya. Amerta Nutr. 2017;1(2):52–61.
Hadi AJ, Riman EY, Sudarman S, Manggabarani S, Ahmad H, Ritonga N, et al. Socio-Family Culture Against Stunting Risk: A Cross-Sectional Population-Based Study. NVEO-NATURAL VOLATILES Essent OILS Journal| NVEO. 2022;1301–11.
Saputra M, Marlinae L, Rahman F, Rosadi D. Program jaminan kesehatan nasional dari aspek sumber daya manusia pelaksana pelayanan kesehatan. KEMAS J Kesehat Masy. 2015;11(1):32–42.
Noorhasanah E, Tauhidah NI. Hubungan pola asuh ibu dengan kejadian stunting anak usia 12-59 bulan. J Ilmu Keperawatan Anak. 2021;4(1):37–42.
Sugiyanto S, Sumarlan S, Hadi AJ. Analysis of Balanced Nutrition Program Implementation Against Stunting in Toddlers. Unnes J Public Heal. 2020;9(2):148–59.
Kumalasari D, Sagita YD, Veronica SY. Description of Nutritional Status with The Development of Toddlers at The Working Area of Public Health Center of Wates, Lampung Province, Indonesia. J Aisyah J Ilmu Kesehat. 2021;6:199–202.
Sudargo T, Armawi A. Sosio Demografi Ketahanan Pangan Keluarga Dalam Hubungannya Dengan Kejadian Stunting Pada Anak Usia 1–5 Tahun (Studi Di Wilayah Kerja Puskesmas Bandarharjo Kelurahan Tanjung Mas, Kecamatan Semarang Utara, Kotamadya Semarang, Provinsi Jawa Tengah). J Ketahanan Nas. 2019;25(2):178–203.
Sriyanti T, Sayekti ES, Kholida D. Hubungan Keluarga Sadar Gizi (Kadarzi) Dengan Stunting Pada Balita Usia 0-24 Bulan Di Wilayah Kerja Puskesmas Singotrunan Kabupaten Banyuwangi. Healthy. 2017;5(2):56–71.
Lutfiana ON. Faktor–Faktor Yang Berhubungan Degan Kejadian Stunting Di Wilayah Kerja Upt Puskesmas Kelcorejo Kabupaten Madiun Tahun 2018. 2018;
Mank I, Vandormael A, Traoré I, Ouédraogo WA, Sauerborn R, Danquah I. Dietary habits associated with growth development of children aged< 5 years in the Nouna Health and Demographic Surveillance System, Burkina Faso. Nutr J. 2020;19(1):1–14.
Hajri T, Angamarca-Armijos V, Caceres L. Prevalence of stunting and obesity in Ecuador: a systematic review. Public Health Nutr. 2021;24(8):2259–72.
Tanaka J, Yoshizawa K, Hirayama K, Karama M, Wanjihia V, Changoma MS, et al. Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya. Public Health. 2019;173:58–68.
RamÃrez-Luzuriaga MJ, Belmont P, Waters WF, Freire WB. Malnutrition inequalities in Ecuador: differences by wealth, education level and ethnicity. Public Health Nutr. 2020;23(S1):s59–67.
Van Tuijl CJW, Madjdian DS, Bras H, Chalise B. Sociocultural and economic determinants of stunting and thinness among adolescent boys and girls in Nepal. J Biosoc Sci. 2021;53(4):531–56.
Lolan YP, Sutriyawan A. Pengetahuan Gizi dan Sikap Orang Tua tentang Pola Asuh Makanan Bergizi dengan Kejadian Stunting. J Nurs Public Heal. 2021;9(2):116–24.
Vikram K, Vanneman R. Maternal education and the multidimensionality of child health outcomes in India. J Biosoc Sci. 2020;52(1):57–77.
Larrea C, Freire W. Social inequality and child malnutrition in four Andean countries. Rev Panam salud pública. 2002;11(5–6):356–64.
Mahumud RA, Uprety S, Wali N, Renzaho AMN, Chitekwe S. The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and metaâ€analysis. Matern Child Nutr. 2022;18(1):e13286.
Haileselassie M, Redae G, Berhe G, Henry CJ, Nickerson MT, Mulugeta A. The influence of fasting on energy and nutrient intake and their corresponding food sources among 6-23 months old children in rural communities with high burden of stunting from Northern Ethiopia. Nutr J. 2022;21(1):4.
Surve S, Kulkarni R, Patil S, Sankhe L. Impact of intervention on nutritional status of under-fives in tribal blocks of Palghar District in Maharashtra, India. Indian J Public Health. 2022;66(2):159.
Gaspersz E, Picauly I, Sinaga M. Hubungan faktor pola konsumsi, riwayat penyakit infeksi, dan personal hygiene dengan status gizi ibu hamil di wilayah lokus stunting Kabupaten Timur Tengah Utara. J Pangan Gizi Dan Kesehat. 2020;9(2):1081–90.
Fadare O, Mavrotas G, Akerele D, Oyeyemi M. Micronutrient-rich food consumption, intra-household food allocation and child stunting in rural Nigeria. Public Health Nutr. 2019;22(3):444–54.
Nachvak SM, Sadeghi O, Moradi S, Esmailzadeh A, Mostafai R. Food groups intake in relation to stunting among exceptional children. BMC Pediatr. 2020;20(1):1–8.
Tam E, Keats EC, Rind F, Das JK, Bhutta ZA. Micronutrient supplementation and fortification interventions on health and development outcomes among children under-five in low-and middle-income countries: a systematic review and meta-analysis. Nutrients. 2020;12(2):289.
Ngaisyah RD. Keterkaitan Pola Pangan Harapan (Pph) dengan Kejadian Stunting Pada Balita. J Kedokt dan Kesehat. 2017;13(1):71–9.
Mahmudiono T, Sumarmi S, Rosenkranz RR. Household dietary diversity and child stunting in East Java, Indonesia. Asia Pac J Clin Nutr. 2017;26(2):317–25.
Sanin KI, Haque A, Nahar B, Mahfuz M, Khanam M, Ahmed T. Food Safety Practices and Stunting among School-Age Children—An Observational Study Finding from an Urban Slum of Bangladesh. Int J Environ Res Public Health. 2022;19(13):8044.
Tamirat KS, Tesema GA, Tessema ZT. Determinants of maternal high-risk fertility behaviors and its correlation with child stunting and anemia in the East Africa region: A pooled analysis of nine East African countries. PLoS One. 2021;16(6):e0253736.
Wiliyanarti PF, Wulandari Y, Nasrullah D. Behavior in fulfilling nutritional needs for Indonesian children with stunting: Related culture, family support, and mother’s knowledge. J Public health Res. 2022;11(4):22799036221139936.
Cooper CM, Kavle JA, Nyoni J, Drake M, Lemwayi R, Mabuga L, et al. Perspectives on maternal, infant, and young child nutrition and family planning: Considerations for rollout of integrated services in Mara and Kagera, Tanzania. Matern Child Nutr. 2019;15:e12735.
Zaragoza-Cortes J, Trejo-Osti L-E, Ocampo-Torres M, Maldonado-Vargas L, Ortiz-Gress A-A. Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp. 2018;35(2):271–8.
Kwami CS, Godfrey S, Gavilan H, Lakhanpaul M, Parikh P. Water, sanitation, and hygiene: linkages with stunting in rural Ethiopia. Int J Environ Res Public Health. 2019;16(20):3793.
Das S, Fahim SM, Islam MS, Biswas T, Mahfuz M, Ahmed T. Prevalence and sociodemographic determinants of household-level double burden of malnutrition in Bangladesh. Public Health Nutr. 2019;22(8):1425–32.
Tafesse T, Yoseph A, Mayiso K, Gari T. Factors associated with stunting among children aged 6–59 months in Bensa District, Sidama Region, South Ethiopia: unmatched case-control study. BMC Pediatr. 2021;21:1–11.
Apriani L. Hubungan Karakteristik Ibu, Pelaksanaan Keluarga Sadar Gizi (Kadarzi) Dan Perilaku Hidup Bersih Sehat (Phbs) Dengan Kejadian Stunting (Studi Kasus Pada Baduta 6-23 Bulan Di Wilayah Kerja Puskesmas Pucang Sawit Kota Surakarta). J Kesehat Masy. 2018;6(4):198–205.
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